FedGS: Federated Gradient Scaling for Heterogeneous Medical Image Segmentation
Philip Schutte, Valentina Corbetta, Regina Beets-Tan, Wilson Silva
TL;DR
This paper tackles privacy-preserving federated segmentation in heterogeneous multi-center data by introducing FedGS, a gradient-scaling aggregation method that emphasizes small, underrepresented lesions without modifying local training. FedGS computes a cumulatively scaled server update that biases aggregation toward challenging samples through η_t, which is derived from per-image difficulty δ_x based on inverse mask area a^{-1}; the method is dataset-adaptive via base log scaling l and threshold τ. Empirical results on PolypGen and LiTS across UTNet and SD-UTNet show that FedGS substantially improves small-lesion Dice (DiceS) while preserving overall Dice and DiceL, with LiTS benefiting more from small-lesion gains and only modest training overhead. The work demonstrates that gradient-level reweighting at aggregation time can mitigate content-based heterogeneity and enhance performance on clinically important yet underrepresented targets, offering a practical, scalable enhancement to federated medical image segmentation.
Abstract
Federated Learning (FL) in Deep Learning (DL)-automated medical image segmentation helps preserving privacy by enabling collaborative model training without sharing patient data. However, FL faces challenges with data heterogeneity among institutions, leading to suboptimal global models. Integrating Disentangled Representation Learning (DRL) in FL can enhance robustness by separating data into distinct representations. Existing DRL methods assume heterogeneity lies solely in style features, overlooking content-based variability like lesion size and shape. We propose FedGS, a novel FL aggregation method, to improve segmentation performance on small, under-represented targets while maintaining overall efficacy. FedGS demonstrates superior performance over FedAvg, particularly for small lesions, across PolypGen and LiTS datasets. The code and pre-trained checkpoints are available at the following link: https://github.com/Trustworthy-AI-UU-NKI/Federated-Learning-Disentanglement
